YIANNIS KOUTSOFAVAS PA-C
NPI 1164317194
Physician Assistant in East Providence, RI

Q: What is Yiannis Koutsofavas's NPI number?

The NPI number for Yiannis Koutsofavas is 1164317194. It was assigned to this individual provider in the NPPES registry on June 10, 2025.

Q: What is Yiannis Koutsofavas's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since June 10, 2025PECOS Enrolled

684 WARREN AVE, EAST PROVIDENCE, RI 02914(401) 434-0022(401) 434-6111 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Apr 14, 2026, Apr 10, 2026, Jun 10, 2025 (3 updates tracked since 2025).

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About Yiannis Koutsofavas Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

YIANNIS KOUTSOFAVAS PA-C (NPI 1164317194) is an individual physician assistant in East Providence, Rhode Island, licensed in Rhode Island (PA01799) and active in the NPI registry since June 2025. He is enrolled in Medicare PECOS and is a graduate of Pennsylvania State University College Of Medicine (2025).

NPPES Registry Identity

NPI1164317194

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameYIANNIS KOUTSOFAVASCredential: PA-C

Location Address684 WARREN AVEEast Providence, RI 02914-1405

Mailing Address684 Warren AveEast Providence, RI 02914-1405

Phone(401) 434-0022

Fax(401) 434-6111

Sole ProprietorNo

Medical School CMSPennsylvania State University College Of MedicineGraduated 2025

Enumeration DateJune 10, 2025

Last NPPES UpdateApril 14, 20263 updates tracked since enumeration

NPPES CertifiedApril 14, 2026

✔ NPI 1164317194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in RI · PA01799

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

684 WARREN AVE, East Providence, RI 02914

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Yiannis Koutsofavas Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8729555339

PECOS Enrollment IDI20260430002407

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02914 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.48 typical visit price

range $58.57 – $177.03

Typical copayment $22.62 (range $14.64 – $44.25)

Most-billed visit code 99203

Established Patient

$72.93 typical visit price

range $18.92 – $144.38

Typical copayment $18.23 (range $4.73 – $36.09)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMMA ELIZABETH DALLAIRE PA-C

Physician Assistant